Davidson, Alphonzo Lowell
Davidson, Alphonzo Lowell is an sole proprietor health care provider with primary practice located at 932 Largo Center Drive , Largo MD 20774. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davidson, Alphonzo Lowell can be contacted via phone (301) 322-8900.Contact Information
Primary practice address
932 Largo Center Drive
Largo MD 20774
Phone: (301) 322-8900
Fax: (301) 322-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5342 | Maryland |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DEN2524 | District of Columbia |
Profile Details
| NPI number | 1700943883 |
|---|---|
| LBN Legal business name | Davidson, Alphonzo Lowell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700943883 | NPPES |
| Maryland | MEDICAID | 016704500 | |
| Maryland | MEDICAID | 021605300 |
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